Individual provider Active NPI

Christine Rodriguez, DPT

  • Orthopedic Physical Therapist
  • St Augustine, FL
National Provider Identifier
1053824680
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT32151 Issued in FL
Practice address
2630 US Highway 1 S
Saint Augustine, FL 32086-6191
Phone
(904) 829-3411
NPI assigned
Nov 6, 2017
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT32151 FL Primary
Massage Therapist 225700000X MA50849 FL

Addresses

Primary practice location

2630 US Highway 1 S
Saint Augustine, FL 32086-6191

Mailing address

128 Aiken St
Saint Augustine, FL 32084-4030
Phone (305) 301-7491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171228000030 FL Practitioner - Physical Therapist in Private Practice 6709144579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Coast Physical Therapy IncGroup PAC ID 9436255973, 16 clinicians

Practice addresses (Care Compare)

2630 US 1
St Augustine, FL 32086-6191
Phone (904) 829-3411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA50849FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Physical Therapy Inc Orthopedic CurrentSince Jan 13, 2026 Accepting new patients

Locations

2630 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 829-3411

1 University Blvd
St Augustine, FL 32086
Phone (904) 826-0084

209 Blackford Way
Ste A
St Augustine, FL 32086
Phone (904) 907-1122

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1053824680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 AIKEN ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320844030",
            "telephone_number": "305-301-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 US HIGHWAY 1 S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320866191",
            "telephone_number": "904-829-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CHRISTINE",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT32151",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA50849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.